4.b) Gacek Application and Site PlanFile No. Q 0 C — 01.3
APPLICATION FOR PLANNING AND ZONING REQUEST
City of Scandia, Minnesota
14727 209th Street North, Scandia, MN 55073
Phone 651/433-2274 Fax 651/433-5112 Web http://www.ci.scandia.mn.us
Please read before completing: The City will not begin processing an application that is incomplete. Detailed submission
requirements may be found in the Scandia Development Code, available at the City office and website (www.ci.scandia.mn.us) and in
the checklist forms for the particular type of application. Application fees are due at the time of application and are not refundable.
1. Property Location: (street address, if applicable)
12680 Scandia Trail, Scandia, MN 55073
2. Washington County Parcel ID:
1603220310001
3. Complete Legal Description: (attach if necessary)
SECTION 16 TOWNSHIP 032 RANGE 020 SW1 /4-NE1 /4 -SWI /4 SUBJ TO RD EASEMENT
4. Owner(s):
Phone:
Jeffrey Allen Gacek
(h) 651.426.0202
(b) 612.701.9991
Street Address: 2629 South Shore Blvd
E -Mail: jagalyn@gmail.com
City/ State: White Bear Lake, MN
Zip: 55110
5. Applicant/Contact Person:
Phone:
Jeffrey Allen Gacek
(h) 651.426.0202
(b) 612.701.9991
Street Address (Mailing): 2629 South Shore Blvd
E -Mail: jagalyn@gmail.com
City/ State: White Bear Lake, MN
Zip: 55110
6. Requested Action(s): (check all that apply)
X Variance Administrative Permit
— Amendment (Development Code)
— Variance Extension (hype)
_Amendment (Comp. Plan )
— Conditional Use Permit (CUP) _ Site Plan Review
(type)-—
Subdivision, Minor
_ CUP Extension
_ CUP/ Open Space Subdivision. Site Plan Modification
— Subdivision, Preliminary Plat/Major
_ CUP/ Planned Unit Development — Site Plan Extension
— Subdivision, Final Plat
Interim Use Permit (IUP) — Sign (Permanent)
Environmental Review
Wetland Review
7. Brief Description of Request: (attach separate sheet if necessary)
I am requesting a setback variance to accomodate a two car detached garage addition to a farmstead
located at 12680 Scandia Trail.The schetch of the proposed garage is attached. The reason for the
variance is because I cannot build it close to the house on any other side. The north side of the house
has a septic system, the west side has a drain field for the septic system and the east side is the front of
the house. The only open space is on the south side of the house as shown. This would require a variance
from 200'setback to approximately 100'. There is a wind screen of trees that would still separate the
garage from the road that will remain.
Redeemed Farmstead
I hereby apply for consideration of the above described request and declare that the information and materials submitted
with this application are complete and accurate. I understand that no application shall be considered complete unless
accompanied by fees as required by city ordinance. Applications for projects requiring more than one type of review
shall include the cumulative total of all application fees specified for each type of review. I understand that applicants
are required to reimburse the city for all out-of-pocket costs incurred for processing, reviewing and hearing the
application. These costs shall include, but are not limited to: parcel searches; publication and mailing of notices; review
by the city's engineering, planning and otheronsultants; legal costs, and recording fees. An escrow deposit to cover
these costs will be collected by the city at the time of application. The minimum escrow deposit shall be cumulative total
of all minimum escrow deposits for each type of review required for the project, unless reduced as provided for by
ordinance. The city may increase the amount of the required escrow deposit at anytime if the city's costs are reasonab
expected to exceed the minimum amount. Any balance remaining after review is complete will be refunded to the
applicant. No interest is paid on escrow deposits.
PLEASE NOTE: If the fee owner is not the applicant, the applicant must provide written authorization by the fee
owner in order for this application to be considered complete.
Property Fee Owger Siguature(s)
v�(j-
Date:
May 7, 2014
Applicant Signatures) )
Date:
May 7, 2014
For City Use Only
VAID
Application Fees: f 16 0
MAY - 7 2014
Escrow Deposit: t ✓[[ n
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CITY OF SCANDIA
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